Cerebral Venous Sinus Thrombosis in a Patient with Appendicular Abscess
| Autor: | Hang-Bin Huang, Zhao Li, Han Zhang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Sigmoid sinus
Abdominal pain medicine.medical_specialty medicine.diagnostic_test business.industry Vascular disease Magnetic resonance imaging medicine.disease Thrombosis Appendicitis 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis medicine Surgery Neurology (clinical) Radiology medicine.symptom Cerebral venous sinus thrombosis business Complication 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 142:108-111 |
| ISSN: | 1878-8750 |
| Popis: | Background Acute appendicitis is a common abdominal emergency, while cerebral venous sinus thrombosis (CVST) is a rare cerebral vascular disease. Cases of CVST in patients with appendicitis have not been reported in the literature. We present a case of CVST in a patient with appendicular abscess. Case Description A 56-year old man presented to our department with a headache for 6 days; he had a history of abdominal pain 15 days before admission. Abdominal contrast-enhanced computed tomography revealed appendicular abscess. Head magnetic resonance venography and contrast-enhanced magnetic resonance imaging showed thrombosis in the left transverse and sigmoid sinus. Antithrombotic treatments were administered, and antibiotic treatments and puncture and drainage were used to treat the appendicular abscess. The patient's headache disappeared after 10 days of treatment, and he had recovered well clinically at 3-month follow-up. Conclusions CVST after acute appendicitis is rare, and clinicians should be aware of this complication when suspicious symptoms occur. The underlying mechanisms require further investigation. |
| Databáze: | OpenAIRE |
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